kathmandu university school of medical sciences dhulikhel … building june... · wctp defines...

Kathmandu University School of Medical Sciences

Dhulikhel Hospital

Nepal

A Proposal for Physiotherapy Academic and Clinical Building Improving Health Outcome for Nepal

June 2018

Proposal for Physiotherapy Academic and Clinical Building

2

Contents

Foreword ........................................................................................................................................................... 3

Executive Summary ........................................................................................................................................... 4

Background – Kathmandu University ................................................................................................................ 5

Background – Kathmandu University School of Medical Sciences(KUSMS) ...................................................... 5

Background – Dhulikhel Hospital ...................................................................................................................... 5

Background – KUSMS Department of Physiotherapy ....................................................................................... 5

Background - Definition of Physiotherapy ........................................................................................................ 6

Physiotherapy in Nepal ...................................................................................................................................... 6

Access to Physiotherapy in Nepal ...................................................................................................................... 7

Physiotherapy Education in Nepal .................................................................................................................... 8

Physiotherapy Graduates in Nepal .................................................................................................................... 9

Improved Infrastructure for Physiotherapy Education in Nepal ..................................................................... 10

Seeking a Partnership ...................................................................................................................................... 10

Appendix 1 – Proposed new infrastructure for KUSMS Department of Physiotherapy ................................. 11

Appendix 2 - Outline of the ground floor ……………………………………………………………………………………………………15

Appendix 3 - Outline of the first floor ………………………………………………………………………………………………………..16

Appendix 4 - Outline of the second floor ……………………………………………………………………………………………………17

Appendix 5 - Outline of the third floor ………………………………………………………………………………………………………18

Appendix 6 - Outline of the fourth floor ……………………………………………………………………………………………………19

Appendix 7 - Outline of the fifth floor ………………………………………………………………………………………………………..20

Appendix 8 - Proposed teaching resources ………………………. .......................................................................... 21

Appendix 9 – Costs for proposed new KUSMS Department of Physiotherapy…………………………………………….22

Appendix 10- Details for the monetary process and regulations…………………………………………………………………23


3

Foreword

Physiotherapists in Nepal provide beneficial and cost effective primary health care for people across the life span with respiratory disease, neurological disorders, and musculoskeletal injuries.

However, physiotherapy services in Nepal are seriously constrained by inadequate educational infrastructure at the Kathmandu University School of Medical Sciences (KUSMS), Kathmandu University, the sole provider of physiotherapy education in Nepal.

This means the physiotherapy profession in Nepal is struggling to meet a huge unmet demand for physiotherapy services in local Nepalese communities, struggling to educate the next generation of Nepalese physiotherapists, and struggling to improve the quality of physiotherapy servicesprovided to local communities. This scenario has been further exacerbated by the increased demand for physiotherapy rehabilitation following the earthquakes that affected large numbers of people in Nepal in May 2015.

To address these pressing challenges, KUSMS, Dhulikhel Hospital are seeking a funding grant of 2,726,000 US$ to design, construct, and equip a dedicated building to house the Department of Physiotherapy within the KUSMS.

External funding is being sought because KUSMS, Dhulikhel Hospital as a not-for-profit institution is unable to fund this project, despite the inadequacy of current facilities used by the Department of Physiotherapy. This funding model is consistent with that used to upgrade educational facilities for the Departments of Dentistry, Nursing, and Medicine at KUSMS, Kathmandu University.

We present our submission in good faith for your kind consideration.

Professor Dr. Rajendra Koju

Dean, School of Medical Sciences

Kathmandu University

Mrs. Ranjeeta S Acharya Head, Department of Physiotherapy

Kathmandu University School of Medical Sciences, Dhulikhel Hospital

Professor Gillian Webb AM

Former Chair World Confederation of Physical Therapy – Asia West Pacific Region

Physiotherapy, The University of Melbourne


4

Executive Summary

There is a large unmet demand for physiotherapy services in local Nepalese communities. This unmet demand for physiotherapy has become even more problematic following the earthquakes in May 2015 that injured large numbers of people in Nepal.1

Nepalese are stoic, but there are so many people here who need physiotherapy to get back to a normal life or manage life as best they can. And we simply don’t have enough physiotherapists to help them.2

In 2013, there were only 350 registered physiotherapists to provide physiotherapy services to a Nepalese population of 27 million3 or 1 physiotherapist per 77,000 people. By way of comparison, the ratio in Indonesia is 1 physiotherapist per 30,000 people and the ratio in Malaysia is 1 physiotherapist per 12,000 people.4

This means the KUSMS Department of Physiotherapy (the Department) needs to increase the number of physiotherapy graduates to meet even basic needs for physiotherapy services among local Nepalese communities in the medium term.

However, the ability to increase the number of physiotherapy graduates in Nepal is seriously constrained by inadequate educational infrastructure at Kathmandu University, a not-for-profit institution which is the sole provider of physiotherapy education in Nepal.

To enable Nepalese communities to access high quality physiotherapy that matches contemporary clinical needs, the KUSMS needs state-of-the-art infrastructure for physiotherapy education. External funding is being sought because KUSMS, Dhulikhel Hospital as a not-for-profit institution is unable to fund this project itself. This funding model is consistent with that previously used to upgrade educational facilities for the Departments of Dentistry, Nursing, and Medicine at KUSMS.

The University’s Department of Engineering and Accounts Section have estimated design, construction, and equipment costs for a new Department of Physiotherapy building. A site has been reserved within the KUSMS, Dhulikhel Hospital campus at no additional cost to the project. A funding grant of 2,726,000 US$ is being sought by KUSMS to undertake this project.

1Refer Dhulikhel Hospital website: www.dhulikhelhospital.org

2 Refer Dhulikhel Hospital website

3 Nepalese Census 2013

4 Japanese Physical Therapy Association Conference, Tokyo, June 2015


5

Background – Kathmandu University

Kathmandu University is an autonomous, not-for-profit, non- government institution dedicated to maintaining high-standards of academic excellence. Kathmandu University is committed to developing leaders in professional areas through quality education.

The University is located in the Dhulikhel municipality about 30 kilometers east of Kathmandu, the capital of Nepal.

Background – Kathmandu University School of Medical Sciences(KUSMS)

KUSMSwas established through collaboration between Kathmandu University and Dhulikhel Hospital. KUSMS has educational infrastructure and physical facilities at 2separate locations 3km apart. KUSMS biomedical science Departments are located at Chaukot and other Departments are located at the Dhulikhel campus5 where Dhulikhel Hospital, the University’s hospital, is located.

Background – Dhulikhel Hospital (DH)

Dhulikhel Hospital is an independent, not for profit, non-government institution, which was conceived and supported by the Dhulikhel community, as a quality health services provider. The hospital was inaugurated by the late King HM BirendraBirBikram Shah Dev in 1996, as a collaborative project of the Municipality of Dhulikhel, NepaliMed International, and Dhulikhel Health Service Association. Dhulikhel Hospital is guided by the principles of social equity, sustainable development, and harmony with nature. The trained staffs of Dhulikhel Hospital provide cost effective, compassionate, and quality health care services. The Hospital believes quality health services need not be an expensive commodity limited only to those who are rich enough to afford them.

The hospital covers a population of approximately 1.9 million people from Kavrepalanchowk, Sindhupalchowk, Dolakha, Sindhuli, Ramechhap, Bhaktapur, and other surrounding districts, which in total constitute more than 50 of the 75 districts in Nepal.

Dhulikhel Hospital is the University Hospital for all the physiotherapy educational and clinical programs run in collaboration with the KUSMS, including physiotherapy.

Background – Department of Physiotherapy, KUSMS / DH

The KUSMS Department of Physiotherapy has been the sole provider of physiotherapy education in Nepal since its establishment in 2002. The Department is currently staffed by 14 Nepali physiotherapists, the majority of whom have Masters level degrees in a variety of physiotherapy specialties.

The physiotherapy program is taught at the Chaukot campus (the biomedical science component of the curriculum), at shared facilities on the Dhulikhel campus, and at Dhulikhel Hospital. Many of the current facilities are inadequate for excellence in physiotherapy education. They are also inadequate for expanding the physiotherapy program to meet the future clinical needs of local Nepalese communities.

The primary objective of physiotherapy education is to prepare a trained health care professional within the country to meet Nepal’s demand for high-quality physiotherapy services.6

5 Refer KUSMS website: www.kusms.edu.np

6 Refer KUSMS website


6

Background –Definition of Physiotherapy

The World Confederation for Physical Therapy (WCPT) represents physical therapists and their organizations around the globe. Physical therapists, also known as physiotherapists, are the specialists in human activity and movement.

WCTP defines physiotherapy and the role of physiotherapists as follows:

‘Physical therapists provide services that develop, maintain and restore people’s maximum movement and functional ability. They can help people at any stage of life, when movement and function are threatened by ageing, injury, diseases, disorders, conditions or environmental factors.

Physical therapists help people maximize their quality of life, looking at physical, psychological, emotional and social wellbeing. They work in the health spheres of promotion, prevention, treatment/intervention, habilitation and rehabilitation.

Physical therapists are qualified and professionally required to:

undertake a comprehensive examination/assessment of the patient/client or needs of a client group

evaluate the findings from the examination/assessment to make clinical judgments regarding patients/clients

formulate a diagnosis, prognosis and plan

provide consultation within their expertise and determine when patients/clients need to be referred to another healthcare professional

implement a physical therapist intervention/treatment program

determine the outcomes of any interventions/treatments

make recommendations for self-management.’

Physiotherapy in Nepal

Physiotherapists in Nepal provide beneficial and cost effective primary health care for people across the life span with respiratory disease, neurological disorders, and musculoskeletal injuries.

For example, physiotherapy for people in local communities includes:

management of people with chronic respiratory diseases

women’s health care especially for women with postnatal complications which are prevalent due to inadequate perinatal care

rehabilitation for people with musculoskeletal injuries which are prevalent because much of the workforce in Nepal undertakes heavy physical labour

management of children with developmental disorders

rehabilitation for people with neurological disorders such as strokes and spinal cord injuries

rehabilitation for people with long-term musculoskeletal injuries, multiple trauma, and spinal cord injuries caused by the serious earthquakes in May 2015.

Physiotherapy services in Nepal are provided by physiotherapists working in public hospitals, rehabilitation centers, and community health centers which are located in Kathmandu, some regional towns, and a few remote areas.

Physiotherapy services for people in remote areas are provided through a few established outreach services including those provided by Dhulikhel Hospital which has 18 outreach programs.


7

Access to Physiotherapy in Nepal

Access to quality physiotherapy is difficult in Kathmandu, regional towns and remote areas of Nepal because there are not enough qualified physiotherapists to meet the demand for physiotherapy services.

In 2013, there were only 350 registered physiotherapists to provide physiotherapy services to a Nepalese population of 27 million7 or 1 physiotherapist per 77,000 people. By way of comparison, the ratio in Indonesia is 1 physiotherapist per 30,000 people and the ratio in Malaysia is 1 physiotherapist per 12,000 people8.

Nepalese are stoic, but there are so many people here who need physiotherapy to get back to a normal life or manage life as best they can. And we simply don’t have enough physiotherapists to help them.

After the earthquakes in May 2015, the physiotherapy profession in Nepal felt quite overwhelmed. The gap between how much physiotherapy was needed and what the profession could provide was even worse than before. It was a stark reminder that without change, more and more people in Nepal will be left with serious physical problems that could have been successfully treated with physiotherapy. The main problem is we have such limited resources to educate more local physiotherapists. Since the Bachelor of Physiotherapy program was established at KUSMS in 2010, we have accepted more physiotherapy students each year. But we have reached a point where our educational facilities are now completely overloaded. We desperately need better educational infrastructureto produce physiotherapists who are capable of providingexcellent health care for Nepalese people who need it. Without new educational facilities for physiotherapy, it’s almost impossible to see a morally acceptable way forward. But if we can build the right infrastructure for physiotherapy education and meet the need for physiotherapy services, it’s certain the lives of individuals and communities in Nepal will be improved. And that’s our goal.

Mrs Ranjeeta S Acharya, Head Department of Physiotherapy, KUSMS

Everyone who has worked or visited Nepal is amazed by the resilience of the Nepali people. The Nepali people constantly live and work in difficult circumstanceswhich was greatly added to by the devastating earthquake in 2015. Physiotherapy is not well-known professions in Nepal, however there are many people who need the services of physiotherapy to be able to participate in the community more fully. The burden of disability is heavy both for the individual and their families as well as for the Nation as a whole.

Physiotherapy education at KUSMS is growing rapidly. The department is now staffed fully by local Nepalese, most of whom have gained Masters degrees in India. Two faculty members are now undertaking PhD programs internationally and all the staff are working to develop research capacity.To enable the program to be able to offer more places for students and to grow the research activities of staff and students it is imperative for them to have the facilities to do this. The existing learning and teaching areas that are available are barely adequate for the numbers studying now and there are no dedicated research spaces. The University has a site allocated for a new building. It is of utmost importance that this building project is undertaken as soon as possible so that the department can continue its excellent work in facilities that enable them to increase the number of graduates who are so needed to help in getting better health outcomesin the area of disability for the Nepali people.

Associate Professor Gillian Webb AM, Former Chair WCPT-AWP Region.

7 Nepalese Census 2013

8 Japanese Physical Therapy Association Conference, Tokyo, June 2015


8

Physiotherapy Education in Nepal

The first formal physiotherapy education program in Nepal was established in 1983 within the Institute of Medicine at Tribhuvan University in Kathmandu with the generous assistance of a Canadian physiotherapist, the late Ms Mary Martin. This course ran until 1990.

In 2002, again with the generous participation of Ms Martin, a 3-year physiotherapy certificate program was created at the KUSMS on the campus of Kathmandu University at Dhulikhel. The certificate was upgraded to a 4.5-year bachelor degree in 2010 with the first degree level students graduating in March 2015.

The KUSMS Department of Physiotherapy has established formal links with a range of Nepalese hospitals including: Dhulikhel Hospital -the University’s hospital, rehabilitation centres, community health centres, and outreach programs to provide clinical placements for physiotherapy students.

The Department of Physiotherapy was originally staffed by international physiotherapists and then by Nepali physiotherapists educated in India. The Department is now staffed by 16 Nepali physiotherapists, the majority of whom have Masters level degrees in various physiotherapy specialties.

International colleagues have been supporting the physiotherapy curriculum and research activities at KUSMS through visiting lecture programs and staff mentoring, as well as student and staff exchanges.

The Swiss based Association for Support of Physiotherapy in Nepal (ASPN) has been supporting the KUSMS Department of Physiotherapy in capacity building, since the Department was established.

The primary objective of physiotherapy education is to prepare a trained health care professional within the country to meet Nepal’s demand for qualified physiotherapy services.9

The other key objectives of the KUSMS Department of Physiotherapy are to:

provide high quality physiotherapy education in accordance with accepted standards, requirements of the Nepal Health Professional Counciland the policies and standards of the World Confederation for Physical Therapy (WCPT)

produce physiotherapists with excellent skills in primary contact practice, patient-centeredevidence based physiotherapy, clinical reasoning, communication, the promotion of health and well-being and the prevention of injury

produce physiotherapists who are capable of working solo or in teams in a range of healthcare settings

foster evidence based practice in accordance with accepted international guidelines and the policies of WCPT

produce Nepalese physiotherapists who understand the culture, customs and health needs of local Nepalese communities

collaborate with international colleagues on staff/student exchanges and visiting lecturers

support research activities that benefit physiotherapy services in Nepal

in collaboration with the Nepalese Physical Therapy Association (NEPTA), provide continuing professional development workshops and symposiums to enable graduate physiotherapists to sustain their skills and knowledge throughout a career in physiotherapy.

9 Refer KUSMS website


9

The longer-term objectives of the KUSMS Department of Physiotherapy are to:

provide higher degrees for Nepalese physiotherapists wishing to increase their knowledge and skills in particular areas of physiotherapy practice

produce Nepalese physiotherapists who are committed to developing the physiotherapy profession, improving physiotherapy practice and building a sustainable physiotherapy workforce in Nepal

support research activities that provide evidence for excellence in physiotherapy practice in Nepal

develop core competency standards for Nepalese physiotherapists

gain WCPT accreditation of the physiotherapy education program in Nepal.

Physiotherapy Graduates in Nepal

Since the 4.5-year Bachelor of Physiotherapy program commenced at KUSMS in 2010, there has been a steady increase in the annual intake of students (Table 1). While this increase is necessary to meet the clinical demand for physiotherapy services in Nepal, it has put significant pressure on the existing educational infrastructure.

All 13 students who enrolled in the new bachelor program in 2010, graduated successfully in March 2015.

Year Physiotherapy Students Physiotherapy Graduates

2010 13 Not applicable





2015 29 13

2016 30 12

2017 30 19

2018 30 17

Table 1: Student intake in the KUSMS Bachelor of Physiotherapy program since2010


10

Improved Infrastructure for Physiotherapy Education in Nepal

There is a large unmet demand for physiotherapy services in local Nepalese communities. This unmet demand for physiotherapy has become even more problematic following the earthquakes in May 2015 that injured large numbers of people in Nepal.10

The education of more physiotherapy graduates in Nepal is seriously constrained by inadequate educational infrastructure at Kathmandu University, a not-for-profit institution which is the sole provider of physiotherapy education in Nepal.

To enable Nepalese communities to access high quality physiotherapy services that matches contemporary clinical standards, the KUSMS needs state-of-the-art infrastructure for physiotherapy education. External funding is being sought because Kathmandu University as a not-for-profit institution is unable to fund this project itself.

Appendix 1 shows the current educational infrastructure at the KUSMS Department of Physiotherapy and a proposed infrastructure based on essential resources commonly found in Departments of Physiotherapy in the WCPT –Asia West Pacific Region.Appendix 2 shows related teaching resources. The proposed infrastructure and related teaching resources have been developed in conjunction with the Chair of the WCPT Asia West Pacific Region, Associate Professor Gillian Webb AM, School of Physiotherapy, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne. The existing physiotherapy outpatient service – a valuable resource for the community and an important aspect of clinical education – will remain located in Dhulikhel Hospital with the potential for additional outpatient facilities in the proposed new building. It is envisioned that library facilities will be shared with other Departments within KUSMS.

The Department’s current infrastructure caters for 14 academic staff and a combined total of 120 students from an annual intake of 30 students. The proposed infrastructure and related teaching resources is intended to cater for a medium-term transition to 24 full time academic staff and a combined total of 240 students from an annual intake of 60 students.

Seeking a Partnership

Kathmandu University and Dhulikhel Hospital seek a contractual partnership with an individual or entity willing to offer a funding grant to assist in the design, construct, and furnishing of a dedicated building on the Dhulikhel campus to house the Department of Physiotherapy within KUSMS.The primary objective of the proposed project is to enable the education of physiotherapists in accordance with national and international standards and the requirements of the Nepal Health Professional Council, and allow for progressive growth in the production of physiotherapy graduates to meet a contemporary need for high quality physiotherapy services in local Nepalese communities.

The University’s Department of Engineering and Accounts Section have estimated design, construction and equipment costs for a new Department of Physiotherapy building and related teaching resources (Appendix 3). A site has been reserved within the KUSMS on the University’s Dhulikhel campus so no additional funding for land is required. This funding model is consistent with that previously used to upgrade educational facilities for the Departments of Dentistry, Nursing, and Medicine at KUSMS, Kathmandu University.

10

Refer Dhulikhel Hospital website


11

Appendix 1 – Proposed new infrastructure for KUSMS Department of

Physiotherapy Proposed surface area for the building: 800 m2/ Floor, so total: 4800 m2

Each Floor planning (Tentative with minimal further changes)

Level of floor Description Office allocation

Basement Utility and Parking Utility and parking for faculties and patient’s care takers

Ground floor Physiotherapy Outpatient department

Front desk, patient waiting hall, musculoskeletal treatment hall, neurological treatment room, electrotherapy hall, paediatric treatment room, cardio respiratory treatment room, counseling room, clinical staff room, washroom, bathroom with shower, changing rooms

First floor Extended patient care and Academic skills labs

Extended patient care unit consists of rooms for admissions and sub-acute management of up to 50 patients. Three skills labs for demonstration room for practical. Counseling room, waiting hall, nursing station, washroom, bathroom with shower, changing rooms.

Second floor Administration and Faculty rooms

Head of department office, small offices for each faculty member (enough for 26 faculty, required number while enrolling 60 students per year), meeting room, lobby, tea room, general administrative offices, front desk, storage, library, washroom, bathrooms

Third floor Teaching/ classroom floor

Physiotherapy classrooms (big enough to accommodate60 students), post graduate/ PhD classrooms, media (computer) room lobby, washroom, bathroom with shower

Fourth floor Research floor and auditorium

Research rooms (enough to conduct research in core physiotherapy areas), an auditorium (appropriate to run hands on session and physiotherapy professional developmental courses plus exam conducting hall), backstage room, lobby, washroom, bathroom with shower

Fifth floor Tutorial floor and fitness hall

Six small tutorial rooms (for small group problem based learning, case discussion etc), a big fitness hall, changing room, store room, bathroom with shower


12

Infrastructure Rationale Current Proposed Unit Area

Teaching spaces

Auditorium An auditorium is required for accommodating up to 250 students (involving students from 3 or 4 years of the 4.5 year program)

- 1 17 x 17.5 m2

Classrooms

(Bachelor)

Classrooms are required for up to 60 students of the 4.5 year program

211 4

8.5 x 10 m2

Classrooms

(post graduates/ PhD)

Seminar rooms are required for up to 15 students for seminars involving students from 1 or 2 years of the PG/PhD program

- 3 10 x 5.5 m2

Tutorial rooms Tutorial rooms are required for small group learning with up to 10 students in each tutorial group

- 6 4 x 8 m2

Media room for distance learning / computer room

The media room should facilitate distance learning between the Department and students on clinical placements/external sites. Also for computer access

- 1 4 x 16 m2

Practical classrooms (Skills lab)

Each practical classroom should be able to accommodate 10 adjustable treatment beds. There should be adequate storage facilities for each practical classroom. There should be at least 1hall for electrotherapy and 2additional exercise halls.

112 3 12 x 9.5 m2

Fitness Clinic and Gymnasium

A dedicated gymnasium with adequate storage facilities is required for teaching fitness and rehabilitation skills

113 1 17 x 21.5m2

Front desk Reception - 1 8 x 5 m2

Patient waiting hall

Enough space to wait for patients upto 10 at time for each musculoskeletal, neurology, pediatric, fitness, and electrotherapy services

-

1

20 x 10 m2

11

One of the 2 existing seminar rooms is within the Dhulikhel Hospital Outpatient Department; it is designed for clinical not educational purposes. The second seminar room is shared with other KUSMS programs 12

The existing practical classroom is within the Dhulikhel Hospital Outpatient Department; it is designed for clinical not educational purposes and can accommodate only 6 treatment beds; as a result, students are unable to undertake sufficient skills practice 13

The existing gymnasium is within the Dhulikhel Hospital Outpatient Department; it is very small and is designed for clinical not educational purposes


13


Neurology room For management of neurological patients, electrodiagnosis, quiet room for patients with neurological problems

-

1

10 x 12 m2

Musculoskeletal room

For management of patients with musculoskeletal disorders

- 1

10 x 12 m2

Paediatric room For management of paediatric patients with varied disorders

- 1

10 x 7 m2

Electrotherapy hall

For management of patients through different modalities that have good evidence in treatment

1

1

10 x 6 m2

Counselling room / Visitors room

Rooms large enough for counseling individual or small group of students / patients or patient families

-

2

4 x 4 m2

Faculty room with cupboards

26 small cubicles for individual faculty and for head of the department (26 for enrolling 60 undergraduate and 15 post graduate students per year)

214

26

2 x 4 m2

Bathroom with shower

Two, 1for male and 1for female to be included in each floor and 2 extra in fitness floor (for changing and showering)

Toilets in the clinical floors will be environmental friendly for physically challenged individuals

-

12

4 x 4 m2

Research laboratories

Separate research laboratories are required for cardiothoracic, musculoskeletal, neurological, and paediatric, research projects

- 4 9 x 4 m2

Staff meeting room

There needs to be dedicated space for regular meetings of academic, clinical, and administrative staff. The meeting room needs to include basic kitchen facilities and staff lockers.

115 1 10 x 8 m2

Administration spaces

14

The existing staff offices are within the Dhulikhel Hospital Outpatient Department; the offices are entirely inadequate for a staff of 11 which means productivity is constrained 15

The existing staff room is within Dhulikhel Hospital Outpatient Department; it is very small and is designed for clinical not educational purposes


14


Reception for administration (excluding clinics)

A reception area is required for providing information, handling student/staff queries, and greeting visitors

- 1 8 x 5 m2

Storage space Lockable storage space is required for confidential documents such as student results

- 3 8 x 5 m2

Administration offices

Offices are required for general administration and 1 office is required for IT support

- 2 10 x 11 m2

Stairs To access all floors 5 floors

X1

2 x 8 m2

Lift To access all floors 4 floors 2 x4 m2

Ramp** To access clinical floors - 2 floors 10 x 11 m2

*(Additional spaces can be used for hallways, private bathrooms, tea room, locker spaces for students, magazine/newspaper section, decorations, walkways for practicals, waiting rooms, etc)

** The building especially clinical floors will be constructed to be environmental friendly for physically challenged individuals based on WHO criteria


15

Appendix 2: Outline of the ground floor


16

Appendix 3: Outline of the first floor


17

Appendix 4: Outline of the second floor


18

Appendix 5: Outline of the third floor


19

Appendix 6: Outline of the fourth floor

FOURTH FLOOR


20

Appendix 7: Outline of the fifth floor


21

Appendix 8 – Proposed teaching resources for new KUSMS Department of

Physiotherapy Resource Rationale Current Proposed Total Cost

US$

Adjustable treatment beds( for teaching)

There need to be enough adjustable treatment beds for all students to acquire safe practical skills.

6 60 120,000

Audiovisual resources

Audiovisual resources are required in the lecture theatre; all seminar rooms and the media room to support excellence in education.

0 8 40,000

Computers Computers are required for staff workstations and the student learning hub.

6 50 40,000

Whiteboards At least 1 whiteboard is required in each teaching and research space.

6 10 1,000

Exercise equipment

A full range of exercise equipment is required for the gymnasium and practical classrooms for teaching exercise therapy and rehabilitation (eg, exercise bikes, treadmills, exercise mats, elliptical,bars).

30,000

Safety equipment

Fire extinguisher, smoke alarm, alarm, cctv

0 12 3,000

Internet Access& Phones

Internet access is required throughout the Department (teaching spaces, research spaces, staff facilities, student facilities and administrative areas) to support a productive workplace and excellence in education.

2,000

Clinical beds 25 hydraulic beds 50,000

AC Central AC 10,000

Furniture Class room chairs and tables, lockers, cupboards, kitchen accessories, notice boards, stools, sofa, rack, computer desk

30,000

Total costs 326,000


22

Appendix 9 – Costs for proposed new KUSMS Department of Physiotherapy

Total costs are based on the dedicated spaces listed in Appendix 1 and the related teaching resources listed

in Appendix 2.

The Department of Engineering and Accounts Section have determined building costs based on:

a 6-story building with a standard configuration of plumbing; electrical; internet access; stairways;

lifts; windows; bathrooms; corridors; heating; fire safety requirements; security requirements

a general unit cost per square meter

additional costs associated with physiotherapy specific infrastructure (additional hand washing

facilities; sinks with hot and cold water; sinks with plaster traps; storage for gym equipment;

storage for electrotherapy equipment).

Summary of costs

Surface area for the building: 800 m2/ Floor, so total: 4800 m

2

The cost of the building is NPR 50,000 per square meter

Building infrastructure includes the following stages:

1) Planning

2) Project management

3) Construction

Item Cost in NRS Cost in USD

Physiotherapy building (4800m2X 50,000 NRS)

240,000,000 2,400,000

Physiotherapy teaching resources 32,600,000 326,000

Total Cost 272,600,000 2,726,000


23

Appendix 10: Details for the monetary process and regulations for

Physiotherapy Building:

- Following the initial contact between the fundraiser (can be any member from the department of

physiotherapy, KUSMS, well-wisher, experts/ expatriates who has been involved with KUSMS) and

the donor, further contact will be forwarded to the details provided below.

1) Ms. Ranjeeta S Acharya Head, Department of Physiotherapy Kathmandu University School of Medical Sciences, Dhulikhel Hospital [email protected]

2) Ms. Bimika Khadgi Deputy Head, Department of Physiotherapy Kathmandu University School of Medical Sciences, Dhulikhel Hospital [email protected]

- For the money transfer, Dhulikhel Hospital has an account (given below) and the amount sent will

be deposited in the bank account. Please mention “Support for Physiotherapy building” when the

amount is transferred.

Bank Details:

ACCOUNT NAME : DHULIKHEL HOSPITAL

ACCOUNT NO. : 006-0000000301

BANK NAME : NCC BANK (NEPAL CREDIT AND COMMERCE BANK LTD.)

BRANCH : BANEPA

BANK ADDRESS : BANEPA, KAVRE

SWIFT CODE : NBOCNPKA

COUNTRY : NEPAL

- The Donor can notify when the amount was sent (via email to Ms. Ranjeeta or Ms. Bimika). Once

the amount is received by Dhulikhel Hospital, the donor will received a letter from Dhulikhel

Hospital (Account Section) stating the amount that was received and its purpose.

- The deposited amount will be entered in a separate account head. All the amount received for the

support of Physiotherapy building will be collectively placed in the account head.

- The account section will provide an update for the progress of the building for the amount being

used

Tax deductible options:

Dhulikhel Hospital is registered as a not for profit organization and we can provide a certificate if needed.

Donors could claim for tax deduction (with the certificate) as per the norms of the home country.

Thank you very much for the support in the development of Physiotherapy profession in Nepal.

mailto:[email protected]

mailto:[email protected]


24

kathmandu university school of medical sciences dhulikhel … building june... · wctp defines...

Documents